Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 200281 | NY |
NPI | 1407915804 |
---|---|
Provider Name | Swati Dave-Sharma |
First Address | Bronx, NY 10451-5504 |
Second Address | Bronx, NY 10451-5504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2006 |
Last Update Date | 09/03/2015 |